NOELLE® S574 - s3.amazonaws.com · forcep deliveries. Scenario Library Includes 49+ labor and...

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NOELLE® S574.100 / S575.100 / S576.100 Advanced Maternal and Neonatal Birthing Simulator

Transcript of NOELLE® S574 - s3.amazonaws.com · forcep deliveries. Scenario Library Includes 49+ labor and...

NOELLE® S574.100 / S575.100 / S576.100

Advanced Maternal and Neonatal Birthing Simulator

With the click of a button, NOELLE’s

automatic delivery system moves the

fetus throughout the labor stages for

repeatable lifelike births. Built in sensors

track participant interaction and give

you real time performance feedback.

Start simulation right away. Select from

49+ preprogrammed labor and delivery

scenarios including shoulder dystocia,

vaginal breech, postpartum hemorrhage,

C-section, and much more. Includes

supporting scenario training textbooks.

Prepare your learners and staf for even the most complex

labor and delivery scenarios using the most advanced

birthing simulator in the world. At the click of a button,

NOELLE simulates routine and high-risk deliveries for

training and assessment. And with tetherless and wireless

technology, NOELLE can deliver anywhere, anytime, just

like a real patient.

Labor and DeliveryScenario Library

Automated Precision Delivery System

Advanced Obstetric Simulation

Practice epidural procedures on a spinal

cord insert with skin layer, subcutaneous

layer, connective tissue, and lumbar vertebrae.

Anatomic features include: iliac crests, lumbar

vertebrae L2 – L5, ligamentum lavum and

epidural space. Sensors report and log

the moment the needle enters the epidural

space, or if its inserted too far.

NOELLE’s contraction abdominal

cover allows palpation of real time

contractions during a scenario.

The cover gets irm as the

contraction peaks.

Realistic amniotic sac inside

palpation abdominal cover creates

a natural and realistic feel when

practicing palpation exercises.

EpiduralProcedures

Palpable ContractionsRealistic Fetal Palpation

Simulate an obstructed labor,

including a lifelike shoulder

dystocia complication. Practice

management techniques and

maneuvers such as McRoberts,

Woods screw, “hands and knees”,

and much more.

Dystocia Management

New lifelike birth canal

simulates human tissue. Birth

canals are removable and are

designed to withstand more

than 75 deliveries.

NOELLE’s episiotomy repair

inserts simulate human tissue

that can be sutured repeatedly.

Inserts feel and look real.

Lifelike Birth Canal Episiotomy Repair

Multi-layer abdominal wall with skin, subcutaneous

tissue, fascia, muscle, and peritoneum for maximum

realism. Abdominal inserts have simulated blood

incorporated into the subcutaneous layer. Use

real surgical instruments for incision, dissection,

and suturing.

Practice C-Sections using real surgical instruments

Anatomic landmarks include

bilateral ischial spines, coccyx

and pubic symphysis.

Pelvic Landmarks

Smart Delivery Neonates

S575.100 NOELLE® with Newborn HAL® S576.100 NOELLE® with Premie HAL®

The S3010 Newborn HAL is a wireless full term baby,

perfect for neonatal care simulation. Train participants

in assessment, intubation and airway management,

CPR, IV or I/O access, ECG, and much more even in

transit. HAL includes a dedicated control tablet PC

and a library of preprogrammed scenarios that allow

you to train staf in team hand-ofs and communication.

The S3009 Premie HAL is a wireless preterm baby

designed for lifelike simulation in the NICU, or in

transit inside an isolette. Train for the treatment of

premature infant care including: assessment, intubation

and airway management, resuscitation, and much

more. Control Premie HAL using its dedicated tablet

PC and run preprogrammed scenarios linked to

NOELLE’s delivery condition.

Prepare your participants for low frequency deliveries.

Simulate multiple breech positions to train for C-section

and vaginal delivery management techniques.

Breech Delivery Baby

The Smart Vertex Delivery Baby has audible heart

sounds before, during, and after delivery. Monitoring

technology reports pull-force applied by the participant

in real time.

Smart Vertex Delivery Baby

NOELLE® includes two delivery neonates designed to simulate lifelike vertex and breech deliveries. Participants can

palpate sutures lines and fontanelles. Manipulate the jointed arms and legs, while managing any potential umbilical

cord or placenta complication.

Train for Neonatal Resuscitation and Neonatal Care Simulation

Expand your labor and delivery simulation training to include essential neonatal resuscitation scenarios. Gaumard’s

wireless neonates allow participants to train for critical neonatal care skills that can help save lives. Select a wireless

NOELLE and Neonate bundle package and save.

Automated Delivery

Click “Play” to start

the automatic delivery

system. The motor has

automated control of

both descent and

rotation of the fetus as

it descends.

Placenta

Simulate cord and

placenta complications

and distress. Placenta

features detachable

fragments.

Postpartum Activity

Use the postpartum

uterus and program

PPH, perform a fundal

massage, practice

episiotomy repair and

insert and inlate a

Bakri Balloon.

Breech Delivery

Practice vaginal

breech deliveries and

free the legs using

Pinard maneuver.

Patient Assesment

Programmable lifelike

blinking, pupil reaction,

convulsions, chest rise,

and much more.

Tetherless

NOELLE functions

fully while tetherless,

allowing you to easily

transport NOELLE like

a real patient.

Repeatable Control

Simulate repeatable

deliveries for competency

based training. Track

skill improvement in

critical situations.

Shoulder Dystocia

Lifelike shoulder dystocia

presents with notable

fetal head retraction to

simulate observable

"turtle signs." Practice

advanced management

techniques.

Assisted Delivery

Practice assisted

vacuum extraction and

forcep deliveries.

Scenario Library

Includes 49+ labor

and delivery scenarios

including high risk

deliveries and postpar-

tum complications.

Includes training guides.

Real-time Feedback

Monitor and log pull

force applied to fetus,

contractions, and vital

signs. Signals alert when

excessive force is used.

Use Real Devices

Use your real equipment

such as a real OSAT

monitor, BP cuf,

deibrillators or external

cardiac pacemakers.

Most Advanced NOELLE® Ever

The Gaumard virtual maternal and fetal monitors display realtime vital signs and fetal monitoring

information. With onscreen ile sharing capability, participants have access to simulated lab reports

and medical images that enhance realism during simulation. Train participants to interpret vital signs

information helpful in identifying and managing critical situations.

Interactive Maternal and Fetal Monitors

Includes Vital Signs Monitors for NOELLE and Neonate

· 20in touchscreen Patient Monitor

“all-in-one” PC. 17in touchscreen

Fetal/Newborn monitor

· Select up to 12 dynamic waveforms

including ECG Lead I, II, III, aVR,

aVL, aVF, V1, V2, V3, V4, V5, V6,

AVP, CVP, PAWP, pulse, CCO,

SvO2, respiration, capnography · Share images such as x-rays, CT

scans, ultrasounds, lab results, and

even multimedia presentations as

the scenario progresses

· Customize each trace

independently; users can set

alarms, and time scales

· Display up to 12 numeric values

including HR, ABP, CVP, PAWP,

NIRP, CCO, SpO2, SvO

2, RR, EtCO

2

temperature, and time

Interactive Perinatal Monitor

The perinatal monitor lets the participants monitor:

· Baseline fetal heart rate

· Fetal heart rate variability

· Accelerations

· Decelerations

· EFM and FSE heart tones

· Uterine contractions

frequency and intensity

· Trace history w/ print out capability

· All fetal vital signs are

fully programmable

Standard 20in “all-in-one”

touchscreen monitor to

display vital signs

Optional 12in touchscreen

tablet to display vital signs

Our intuitive and powerful software ofers ease of use and the lexibility required by the most

demanding users. Basic view provides windows for the 3D model of the simulator, a completely

conigurable vital signs monitor, activities log, perinatal monitor and labor curve.

Powerful yet intuitive.

UNI™ Software

PerinatalMonitor

Easy instructor access to the

dynamic Perinatal Monitor right

from the tablet PC.

Shoulder Dystocia

Simulate a shoulder dystocia

complication at the click of

a button.

Labor Controland Descent Curve

Deine labor variables such as:

labor duration, delivery position,

contraction response, and much

more. Descent Curve graph

deines the position of the fetal

head relative to the ischial spines.

Events Log

Changes in condition and care

provided are time stamped

and logged.

3DControls

3D image can be rotated or

enlarged; the skin removed and

physiologic parameters accessed

to change any elements of a

powerful physiologic engine.

Cardinal Movements

Precise control over both fetal

translation and rotation. Start

delivery at ROA, LOA,LOP or ROP.

NOELLE

New Features· Powerful and intuitive UNI™ software· Practice epidural procedures on a

spinal cord insert with skin layer, subcutaneous layer, connective tissue, and lumbar vertebrae

· Practice C-Sections using real surgical instruments

· C-Section Abdominal inserts have simulated blood incorporated into the subcutaneous layer

· Built for a perfect it into birthing stirrups· New lifelike birth canal simulates human tissue· Episiotomy repair inserts simulate

human tissue that can be sutured closed repeatedly

· One breech and one vertex fetus· Anatomic landmarks include bilateral

ischial spines, coccyx and pubic bone· NOELLE’s new palpation module

includes an amniotic sac creating a natural and realistic feel when practicing palpation exercises

· NOELLE’s fetus rotates, dips and rises in response to commands from a wireless tablet PC

· Program tongue edema and pharyngeal swelling

Obstetrics· Realistic birth canal with dilating cervix· Precision programmable fetal delivery

system for repeatable teaching exercises including- Normal Labor and Birth- Instrumented Delivery- Shoulder Dystocia- Breech Presentation- C-Section

· Delivery system can be programmed for rapid deliveries as well as those taking hours

· Program fetal descent over time· Pause, continue or accelerate labor

at any time· Fetal monitor interacts with labor scenario · Apply maternal and fetal vital signs at

speciied points during the labor· Select descent ONLY during uterine

contractions· Precise control over both fetal translation

and rotation· Start delivery at ROA, LOA,LOP or ROP· Program internal and external fetal

rotations as needed· Program dystocia so that each student

receives exactly the same scenario· Save and share scenarios and results

for use later· At least 30 obstetric scenarios that can be

modiied as the instructor requires· Ability to quickly and easily create new

scenarios as the instructor requires· Ability to change maternal, fetal or

delivery conditions during the scenario· Measure and log force experienced by

fetus and cardinal movement with respect to contractions

· Force and shoulder position are graphed in real time with the uterine contraction

· Fetus may be used for external version· Install luids for bleeding and

urinary catheterization· Programmable bleeding from birth canal· Forceps and Vacuum-Assisted Delivery· Uterine module for PPH · Postpartum hemorrhage and

fundal massage· Intrapartum Modeling and Trending· Shoulder Dystocia· Breech and Vertex Delivery

· Leopold Maneuver· C-section: using dissectible stomach cover

including realistic skin, subcutaneous, fascia, rectus muscle, and peritoneum

· Episiotomy Repair· Prolapse of the Umbilical cord· Placenta Previa

Dynamic Perinatal Monitor· Program Uterine Activity

- Control frequency, duration and intensity of contractions

- Select resting tone- Generate additional contractions

during the scenario · Program Fetal Heart Rate

- FHR Baseline- Select variability- Control episodic, periodic, and

variable changes- Generate FHR patterns at any time- Listen to FHR in the External Fetal

Monitoring or the Fetal Spinal Electrode Mode

- Review up to 2 hours of recorded fetal tracings

- Save/print fetal tracings for debrieing

Two Birthing Fetuses· Vertex fetus has a smooth head (no

connection port) making vacuum deliveries more realistic

· Breech fetus has a smooth bottom (no connection port) for maximum realism

· Head with fontanelles and sutures· Head cover for forceps or vacuum

augmentation during delivery· Head lexes as it moves through

birth canal· Suction mouth· Realistic landmarks· Jointed arms and legs useful during

dystocia and breech exercises· Umbilicus and placenta; attach

placenta to uterine wall, placenta includes retained fragments

· Fetuses are attached to delivery mechanism and can be released wirelessly

· Can be manipulated by the student and either released or retained wirelessly

· Fetal condition and release by command from wireless tablet PC

· Programmable fetal heart sounds before, during and following the delivery

Maternal Airway· Program tongue edema and

pharyngeal swelling· Multiple upper airway sounds

synchronized with breathing· Nasal or oral intubation· Sensors detect depth of intubation· Head tilt/ chin lift· Jaw thrust· Simulated suctioning techniques

can be practiced· Bag-Valve-Mask Ventilation· Placement of conventional

airway adjuncts· Endotracheal intubation using

conventional ETTs· Sellick maneuver brings vocal cords

into view

Maternal Breathing· Automatic chest rise is synchronized

with respiratory patterns· Independent left or right lung sounds

synchronized with breathing· Ventilation may be assisted using BVM,

ETT, or LMA· Ventilations are measured and logged· Chest compressions generate palpable

blood pressure wave form and ECG artifacts

· Detection and logging of ventilations and compressions

· Simulated spontaneous breathing· Variable respiratory rates and

inspiratory/expiratory ratios· Bilateral chest rise and fall· Normal and abnormal breath sounds· Anterior auscultation sites

Maternal Cardiac · ECGs are generated in real time with

physiologic variations never repeating textbook patterns

· Heart sounds may be auscultated and are synchronized with ECG

· Optional automatic mode allows to show virtual dynamic ECG rhythms for each of the 12 leads

Maternal Circulation · Measure blood pressure by palpation

or auscultation· Use real BP cuf rather than a “virtual”

cuf to measure blood pressure· Korotkof sounds audible between

systolic and diastolic pressures· Oxygen saturation detected using real

monitors rather than a “virtual” value· Pulse sites synchronized with BP

and heart rate· Bilateral IV arms with ill/drain sites· SubQ and IM injection sites· Chest compressions are measured

and logged· ECG monitoring using real devices · Deibrillate, cardiovert and pace

using real devices· Multiple heart sounds· ECG rhythms are generated in real time · Heart sounds synchronized with ECG· Pacing may be practiced anteriorly

to avoid having to roll the patient during delivery

· Bilateral carotid, radial, and brachial pulses synchronized with ECG

· Pulses vary with blood pressure, are continuous and synchronized with the ECG even during a paced rhythm

Maternal Neural Responses· Programmable blinking, dilation and eye

response to light · Programmable duration and intensity

of convulsions

Maternal Speech· Pre recorded sounds· Standard two way wireless streaming audio

Wireless Streaming Audio· Create and store vocal responses

in any language· Instructor can simulate patient’s voice and

listen to caregivers conversation wirelessly· Be the voice of the simulator and hear

responses at distances up to 50 meters

Vital Signs Monitor· Controlled via wireless tablet PC· Both maternal vital signs and fetal

heart tones· Use selected coniguration or create your

own coniguration to mimic the monitors used in your facility

· Customize alarms· Easy to operate and control· Change maternal or fetal condition during

the scenario· Share images such as ultrasounds,

CT scans, lab results· Touchscreen control

NOELLE® S575.100 | Advanced birthing simulator

NOELLE® S575.100 | Advanced birthing simulator

· Both maternal vital signs and FHTs can be seen at the same time

· Monitor can be conigured by the instructor to suit the scenario

· Display up to 8 numerical parameters· Display up to 5 real time waveforms in

normal mode· Display up to 12 real time waveforms in

advanced mode

Maternal Articulation and Movement· Improved hip articulation for

McRoberts maneuver· Seizure/convulsions· Tremors· Able to position in knees/elbows position

useful during shoulder dystocia· Realistic rotation of the shoulder and hip joints· Legs bend at the knees· Arms bend at the elbow· Supine or semi-recumbent positions· Roll to left lateral position· Put legs in stirrups

Other· Fill bladder and perform Foley catheterization· Remains fully functional even while in transit · Soft carrying case

User Interface · Sensors track student actions· Changes in condition and care provided

are time stamped and logged· View the actions of up to 6 care providers

using a responsive menu or write narrative· Generate and share diagnostic lab results· File sharing· Links with optional recording and

debrieing system integrating the event log with cameras and patient monitor

· Supplied with wireless tablet PC· 49 pre programmed scenarios which can

be modiied by the instructor even during the scenario

· Create your own scenarios - add/edit· Change simulator’s condition during

the scenario· Optional automatic mode/physiologic model· Optional integrated three camera

recording and debrieing solution

NEWBORN

Advanced Newborn· Choice of 30 week Premie or 40 week term· Term newborn 50th percentile in size· Wireless and tetherless so that simulator

can be controlled and intervention documented even in transit

· Supplied with tablet PC for ease of movement

Newborn Airway· Realistic airway· BVM/ET/LMA· Sellick maneuver· Multiple upper airway sounds synchro-

nized with breathing· Oral or nasal intubation· Sensors detect depth of intubation· Suctioning techniques can be practiced· Program blockage of right lung, left lung

and both lungs · Head tilt/chin lift· Jaw thrust· Realistic chest rise and fall

Newborn Breathing· Automatic chest rise synchronized with

respiratory patterns· Select independent left or right lung

sounds synchronized with breathing

· Assisted ventilation with conventional devices

· Ventilations are measured and logged· Chest compressions generate

palpable blood pressure wave form, and ECG artifacts

· Detect and log ventilations and compressions

· Simulated spontaneous breathing· Variable respiratory rates and inspiratory/

expiratory ratios· Bilateral and unilateral chest rise and fall· Respiratory sounds include both normal

lungs as well as stridor and grunting· Anterior auscultation sites

Newborn Cardiac· ECGs generated in real time with

physiologic variations in rhythm never repeating textbook patterns

· Multiple heart sounds, rates and rhythms are synchronized with ECG

· Optional automatic mode enables view of dynamic ECG rhythms shown on any of 12 leads

Newborn Circulation· Color responds to hypoxic events

and interventions· Programmable to comply with current

or future CPR standards· Measure blood pressure · Virtual oxygen saturation · Fontanelle, brachial and umbilical pulses

are synchronized with heart rate and ECG· IV arm with ill/drain sites· SubQ and IM injection sites· Chest compressions measured and logged · ECG monitoring using real devices · Multiple heart sounds· ECGs are generated in real time· Heart sounds synchronized with ECG· ECG rhythm monitoring· Umbilicus may be used for “cut-down”

procedure· Umbilicus has pulse and patent arteries

and vein· Pulse strength varies with BP· Intraosseous access

Newborn Speech· Vigorous cry is synchronized with breathing

Newborn Vital Signs Monitor· Controlled via wireless tablet PC· Display neonatal vital signs in real time· Use selected coniguration or create your

own coniguration to mimic the monitors used at your facility

· Customize alarms· Easy to operate and control· Modify newborn’s condition during

the scenario· Share images such as ultrasounds, CT

scan, lab results· Newborn heart tones· Touchscreen control· Display up to 8 numeric values · Select up to 5 real time waveforms

in normal mode· Select up to 12 real time waveforms

in advanced mode· Display pre-ductal and post-ductal

oxygen saturation· Display blood glucose level

Newborn Articulation and Movement· Seizure/convulsions**· Programmable arm movement and

posture responds to hypoxic events and interventions**

· Realistic rotation of the shoulder/hip joints· Legs bend at the knees

· Arms bend at the elbow· Remains fully functional even in transit

NOELLES574.100

Pro+ Recording and Debrieing SystemS575.100.211

Maternal Automatic ModeS575.100.600

NOELLE with Newborn HALS575.100

NOELLE with Premie HALS576.100

Patented; other patents pending

Additional 12in Touch Screen Tablet to display vital signs

Maternal Drug Recognition System (includes Automatic Mode)

S575.100.002

S575.100.400

· Control both simulation and recording simultaneously using one PC

· Capture multiple video, audio, and patient monitors, as well as simulator log ile for debrieing

· Use in a ixed simulation laboratory or at a mobile location

· Two wireless and one wired camera

· Interactive maternal/fetal/neonatal model· Intuitive interface and automaticity makes

simulation easy· Links maternal conditions with that of her

fetus; fetal condition changes in real time on monitor

· Fetal conditions determine newborn’s initial APGAR score

· Intuitive interface and automaticity makes simulation easy

· Vital signs are generated in real time · Drug library with medications· Use of medications change conditions in

real time mimicking real clinical situations

· Identiies drug type and volume injected into veins of the right hand and forearm

· Supplied with 20 syringes having wireless tags

· Use drugs from library or choose to model other drugs using software template

· Physiologic models update simulated vital signs monitors

· Additional packs of 20 syringes with tags available

· 22ga needle recommended; larger needles will decrease venous life

· Supplied with easily replaceable veins

**Feature not available with Premie HAL

Optional Add-Ons*

Gaumard®

14700 SW 136th Street

Miami, Florida 33196-5691

P.O. Box 140098

Coral Gables, Florida

33114-0098

Toll Free USA

Call 8:00 a.m.- 4:30 p.m. ET

Monday - Friday

800.882.6655

Worldwide

305.971.3790

Fax

305.667.6085

Twenty-four hours

Web Site

www.gaumard.com

Sales / Customer Service

[email protected]

© 2015 Gaumard Scientiic Company

All rights reserved.

About Gaumard®

We are your direct source for

health care education needs.

Gaumard® is family owned

and operated.

Place your Order

By telephone, fax, or on-line at

www.gaumard.com

Extended Warranty and Training

Extended warranty and

in-service training available

for select simulators.

We Accept

VISA, MasterCard, American

Express

Warranty

One year parts and labor. Product

will be repaired or replaced at

our expense. (Other terms and

conditions may apply)

Extended Warranty Protection

Extend your warranty for up to

two years. Call Customer Service

for information.

Technical Support

Available 8:00 a.m. to 7:30 p.m.

ET weekdays, or email us at

[email protected]

Phone: 786-478-3838

On-line Support 24/7

Download articles, instructions,

teaching tips. View instructional

videos on demand.

Repair

Gaumard® will repair its products

for as long as you use them. Other

terms and conditions may apply.

Gaumard® Listens

Customers are a terriic source

for ideas! If you need something

special, give us a call or email us at

[email protected]

Prices for product options and accessories are valid when

ordered at initial time of purchase. Upgrade pricing may difer.

MADE IN THE U.S.A.

BR.014.005